Bile Duct Repair and Reconstruction Surgeon NYC

Bile duct repair and bile duct reconstruction surgery is a separate specialty. Dmitry Alden, MD, FACS, top rated NYC surgeon, successfully performs both surgeries. Extensive training, expert technical skills, and special equipment are needed to achieve success in operations on the bile duct, because of :

The highly complex anatomy of the liver

The presence of major blood vessels near the bile ducts, and

The complex blood supply to the biliary tree (the path through which biles moves from the liver to the first part of the small intestine).

Please note: Dr. Alden accepts insurance if he participates with your plan. Additionally, if Dr. Alden does not participate with your insurance plan, Dr. Alden’s office is frequently able to obtain pre-authorization from your insurance plan based on his uniqueness of his specialty. We will contact your insurance company to understand your benefits and additionally submit for you. You will enjoy the luxury and benefit of academic medicine in a top rated concierge environment without the hassle of long hospital waiting room times and paperwork. Most policies reimburse patients for most of the cost of surgery. Our surgical coordinator will help you with a quote.

Patients and medical professionals from America and around the world seek out Dr. Alden’s specialized best in class individualized cancer treatments and services including his expert surgical management of the patient’s unique condition.

Patients referred to Dr. Alden have access to a vast array of specialists who are some of the best in their field in the country (and possibly in the world).

Bile duct reconstruction surgery becomes necessary if the biliary (bile duct) system is accidentally injured during laparoscopic cholecystectomy (which is removal of the gallbladder through several small incisions in the stomach). Fortunately, bile duct injury is rare and occurs in only 0.1% of all cholecystectomies. However, close to 1 million gallbladders are removed in the United States each year, which translates into 10,000 injuries. This means 10,000 people in need of bile duct repair or reconstruction!

Dr. Dmitry Alden’s track record shows excellent outcomes, minimal complication rates, and, most importantly, a near zero rate of late problems that can be frequent if the repair is not done properly.

In addition, biliary complications can occur during and after liver, gastric, duodenal, and pancreas surgery, and liver transplantation surgery.

Several types of injuries and complications can happen. The blood vessel supplying blood to the bile duct and nearby parts of the liver can be injured or compromised, which is a common complication. Biliary complications can occur early after a surgery or much later, and these are managed differently. Some require an extensive surgical repair and some can be easily managed conservatively, without any need of surgery, by a skilled group of gastroenterologists and interventional radiologists to permanently fix the problem.

In addition to office based consultations, Dr. Alden offers remote consultations to patients and medical professionals anywhere in the world via phone or SKYPE. Please follow this link to learn more:remote consultations. Please phone Dr. Dmitri Alden’s NYC office (212) 434-6216 for details pertaining to remote consultations or simply use the eForm on the right.

What type of surgery is needed for bile duct repair or bile duct reconstruction? Depending on the type, timing, and level of the injury, the bile duct surgery could range from a simple repair to an extensive dissection of the entire bile duct and reconstruction by mounting a loop of small intestine to the liver (Roux-en-Y loop) and making a connection to the multiple bile ducts individually inside the liver. In some cases removal of an entire lobe of the liver is necessary. Sometimes, multiple advanced techniques such as portal vein embolization might be needed.

We regularly perform these types of surgeries and so have gained vast experience in this field. In addition, we work with the best and most experienced gastroenterologists and interventional radiologists in the hepatobiliary field.